Painless treatment of hemorrhoids DD an emerging treatment option

Hemorrhoids are a kind of vascular cushion located in the anal canal and rectum, referred to as “anal cushion”, universal, regardless of age, gender and race, is a normal tissue that exists after birth, with age, lining the hemorrhoids of the tissues and muscles due to gradual aging, laxity, bleeding or prolapsed, which is what we commonly known as This is what we commonly call “hemorrhoids”. The appearance of hemorrhoids is a manifestation of increasing age and is an irresistible law of nature. The known causes of hemorrhoids are diarrhea, constipation, sedentary lifestyle, prolonged lying down, prolonged standing, and pregnancy and childbirth. Bleeding from the stool and prolapse of the anal cushion are the two main symptoms of hemorrhoids. What can we do to treat hemorrhoids when we have symptoms? There are many treatment options for hemorrhoids, which can be categorized into conservative, non-surgical and surgical treatments, etc. The exact method that should be chosen should be based on the severity of the symptoms. According to the severity of the symptoms, hemorrhoids are divided into four stages, one stage is bleeding during defecation, no anal cushion prolapse, the second stage is prolapse and bleeding during defecation, but after defecation can be relieved by themselves. Stage III is anal cushion prolapse that cannot be retracted on its own, but can be retracted with the help of the hand, and Stage IV is severe recurrent bleeding and anal cushion prolapse that cannot be retracted. Stage I patients can choose conservative treatment, pay attention to defecation habits, avoid stool force, and can apply hemorrhoid suppository treatment. Stage II patients can choose non-surgical treatment methods on the basis of conservative treatment. Stage III and IV patients should choose surgical treatment. Surgical treatment is effective, but postoperative anal pain is more obvious, non-surgical treatment methods are many, the more common for the sclerosing agent injection method, rubber ring ligation method, anal expansion therapy, cryotherapy, infrared coagulation therapy, laser therapy, etc., of which the sclerosing agent injection method, rubber ring ligation method, postoperative pain in the anal expansion therapy is obvious; cryotherapy due to the depth and scope of the difficult to control, the treatment time is long, and there is pain, and has now been Laser therapy is expensive and easy to damage the muscle; red line coagulation therapy has a good hemostatic effect, but the effect is not fast. Shanghai Tenth People’s Hospital Interventional Department in the hemorrhoidal artery ligation on the basis of hemorrhoidal artery embolism operation Haemorrhoidal artery embolism operation (HAEO), which has a minimally invasive, postoperative painless, fast recovery, safer advantages; and to reduce the hospitalization time, medical costs, clinical efficacy is good; suitable for patients with hemorrhoids in the second stage, especially for the elderly who can not tolerate anesthesia and surgery. It is suitable for patients with second-stage hemorrhoids, especially for those who are too old to tolerate anesthesia and surgery; most of the patients can get out of bed on the second day after the operation and can be discharged from the hospital after 2-3 days.